Scrotum echo
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Scrotum echo
Ultrasound Quarterly 2004;20:181-200
Seminoma
Most commonMost well marginatedMost hypoechoiecNo cyst or calcifications
Microlithiasis was thought to
Be related to SEMINOMAIn the patient,There is no obvious mass or hypoechoiec lesion in the echo
Embryonal cell carcinoma
InhomogenousPoorly marginatedCystic lesions
>>check lab
teratoma
Most teratoma + embryonal carcinomaWell defined but heterogenous textureCyst: +, calcifications:+
Benign testicular condition
Cyst of tunica albugineaMaybe in the testis or extra-
testis, almost less than 2cm
Maybe multifocal
Tubular ectasiaof the rete testis>>
Multiple dilated tubular structure in the mediastinum testis
No flow
Testicular abscess:Combined with UTIComplications of torsion, testicular hemorrhage, secondary to trauma
Clinical finding:Fever and leukocytosis
torsion
• In the first 6 hrs, testis would become heterogenous hypoechoiec echo pattern
• Nuclear flow was used but not clinical used in some hospital.
Testicular microlithiasis
Testis microlithiasis
• If the calcifications more than 5 spots and measure 1-2mm per spots, microlithiasis is impressed.
• Testis microlithiasis is related to the testis malignancy
Epididymitis/epididymo-orchitis
Chronic epididymo-orchitis
• Chronic epididymitis result from acute incomplete treatment or tuberculosis
• Coarse calcifications and thickening of the tunica albuginea was noted
Spermatocele
Sperm fluid accumulation:Sometimes occur especially in the post vasectomy syndrome
hydrocele
Scrotum and peritoneum persistent communication
Processus vaginalis:Resolved by 1.5 years
Dilated, tortuous vein in the pampiniformplexus near the spermatic cords
>>Imcomplete valves were noted
Dilated vessels and reflux of flow were noted
VARICOCELE
SCROTAL HERNIA